A nurse is caring for a client who has COPD. The nurse should identify the client is at
for which of the following acid-base imbalances?
Metabolic Acidosis
Respiratory alkalosis
Metabolic alkalosis
Respiratory acidosis
The Correct Answer is D
A. Metabolic Acidosis: Clients with COPD are more prone to respiratory acid-base imbalances rather than metabolic ones.
B. Respiratory Alkalosis: COPD is characterized by chronic retention of CO₂, leading to acidosis, not alkalosis.
C. Metabolic Alkalosis: Metabolic alkalosis is not commonly associated with COPD.
D. Respiratory Acidosis: Clients with COPD are at risk for respiratory acidosis due to the retention of carbon dioxide (CO₂), which occurs when alveolar ventilation is impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Social worker: Social workers assist with social, emotional, and financial aspects of care, but they do not manage tracheostomies.
B. Respiratory therapist: This is the correct answer. Respiratory therapists specialize in airway management, including tracheostomy care, and are the appropriate team members for managing this aspect of care.
C. Occupational therapist: Occupational therapists help clients with activities of daily living and adaptive equipment but do not manage tracheostomies.
D. Registered dietitian: Dietitians focus on nutritional care and are not involved in tracheostomy management.
Correct Answer is C
Explanation
A. The nurse coats the indwelling urinary catheter with lubricant. This is correct procedure and requires no intervention. Lubricating the catheter reduces friction and discomfort during insertion.
B. The nurse applies the sterile drape prior to inserting the urinary catheter. This is correct procedure and requires no intervention. The sterile drape maintains a sterile field.
C. The nurse separates the client's labia with her dominant hand. The nurse should separate the client's labia with her non-dominant hand, which then remains in place as a "dirty" hand. The dominant hand, which remains sterile, is used to insert the catheter.
D. The nurse provides perineal care prior to inserting the urinary catheter. This is correct procedure and requires no intervention. Perineal care reduces the risk of introducing bacteria into the urinary tract.
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